IJSR International Journal of Scientific Research 2277 - 8179 Indian Society for Health and Advanced Research ijsr-8-2-18122 Original Research Paper Clinical Review of Pleomorphic Adenoma of the Submandibular salivary gland Burra Dr. K C Burra Dr. February 2019 8 2 01 02 ABSTRACT

Pleomorphic adenoma (PA) is the most common tumor of the benign salivary gland neoplasms, and the most common gland to be involved is the parotid gland. Its occurrence in the submandibular or the sublingual gland is uncommon.  We reviewed patients with submandibular gland pleomorphic adenoma treated at our institution, Gannavaram, Andhra pradesh in last 6 years. Eight  patients were identified. 5 newly diagnosed cases and 3 cases of recurrent disease previously treated elsewhere. All cases were surgically excised with extra capsular gland excision . In patients with recurrent disease, complete microscopic tumor clearance was achieved in three of the eight cases, however all remain clinically tumor free. Pleomorphic adenomas of the submandibular gland are uncommon, with good prognosis following complete tumor excision. Recurrent tumors, however are frequently multi–focal and difficult to excise completely. The adequacy of primary surgery is crucial and supports an approach for a more radical excision  ensuring complete disease clearance for pleomorphic adenoma ,avoiding the risks of tumor spillage associated with a limited excision and tumour handling